Emergency Care for Transgender and Gender-Diverse Children and Adolescents – An Interview With Dr. Hannah Janeway and Dr. Clinton Coil
This issue of Pediatric Emergency Medicine Practice is available at no cost here:
https://www.ebmedicine.net/topics/ethics/trasnsgender-gender-diverse-children
Topics:
- What is the difference between gender and sexual orientation?
- What are some of the terms we may encounter (current or retired)?
- How does a lack of knowledge / competency regarding care for transgender and gender diverse (TGD) youth create barriers to effective care? Or negatively affect the quality of care these patients receive?
- What is the best way to approach a transgender patient in the ER?
- There are a number of ways transgender patient may alter their appearance. Why are these methods relevant (complications) and how do I ask about them?
- Tucking
- Packing
- Binding
- What medical gender-affirming therapies are currently available? And what complications can they cause?
- Pubertal suppression
- Feminizing or masculinizing hormones
- Contraception
- Is gender-affirming surgery used in this population ? What types (chest, genital) ?
- STI’s and Pregnancy are still considerations, correct?
- What are some of the problems that transgender youth have an increased risk of?
- Substance abuse
- Suicide
- Self harm
- Anxiety
- Depression
- Eating disorders
- Physicians and sexual violence
- Family rejection
- Homelessness
- Food insecurity
- Poverty
- What are some helpful resources if I want to learn more?
- UCSF Center for Excellence for Transgender Health (https://prevention.ucsf.edu/transhealth)
- PFLAG (https://pflag.org/)
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Last Updated on January 25, 2023
Sam Ashoo, MD, FACEP, is board certified in emergency medicine and clinical informatics. He serves as EB Medicine’s editor-in-chief of interactive clinical pathways and FOAMEd blog, and host of EB Medicine’s EMplify podcast. Follow him below for more…
